Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly J Fiack, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1669812111

Kelly J Fiack, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bangor, Maine. Qualified in 2013, 13 years ago. Practices with Anesthesia Partners and Management LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
13
Licensed in
ME
In the registry since
2013
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

489 State St
Bangor, ME 04401-6616
Phone: (207) 992-4032
Fax: (207) 992-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA133018 (ME)

Record details

NPI number1669812111
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 28, 2013
Last updated in NPPESJune 28, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Anesthesia Partners And Management Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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